Will Using Travogen and Fusidic Acid Cream Affect My Pregnant Wife? - Obstetrics and Gynecology

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Pregnancy issues


Hello, Dr.
Huang.
I have recently experienced inflammation of the glans and visited a dermatologist who prescribed me Travogen cream and fusidic acid cream to apply on the glans.
I take a shower before each sexual encounter.
My wife is currently pregnant, and I would like to know if these creams could affect the fetus.
Thank you!

Xiao Li, 30~39 year old female. Ask Date: 2017/07/29

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Pregnancy and Lactation Precautions for @TRAVOCORT: 1.
Avoid extensive or prolonged use.
2.
Long-term extensive use in infants and young children, or using occlusive methods with ointments, may lead to developmental disorders.
@Fusidic acid has shown adverse effects on embryos in controlled human studies.
However, if the benefits of this medication significantly outweigh those of other treatments, its use in pregnant women may still be considered acceptable despite the associated risks.
(Category D)

Reply Date: 2017/07/29

More Info


When it comes to the use of topical medications during pregnancy, it is essential to consider both the active ingredients and the potential risks involved. In your case, you are using Travogen cream and Fusidic Acid cream for a condition affecting your genital area. Your concern about the impact of these creams on your pregnant wife is valid and important.

Travogen Cream contains an antifungal agent, typically used to treat fungal infections. While there is limited data on the effects of Travogen specifically during pregnancy, it is generally advised to avoid extensive or prolonged use of topical antifungals. The primary concern is that, although the systemic absorption of topical medications is usually low, there is still a risk of exposure to the fetus, especially if used over large areas or for extended periods. Therefore, it is recommended to use such medications only when absolutely necessary and under the guidance of a healthcare provider.

Fusidic Acid Cream, on the other hand, is an antibiotic used to treat bacterial infections. According to available studies, Fusidic Acid has been classified as a category D drug in pregnancy, which means there is evidence of risk to the fetus based on human data, but the benefits may outweigh the risks in certain situations. This classification suggests that while there may be potential adverse effects, the use of this medication might be justified if the expected benefits significantly exceed the risks involved.
Given that you are applying these creams to a localized area and washing before intimate contact, the risk of significant systemic absorption is likely low. However, it is still crucial to consider that any medication can potentially affect the fetus, especially during the first trimester when organ development is occurring.
In your situation, it is advisable to consult with your wife's obstetrician or a healthcare provider who specializes in maternal-fetal medicine. They can provide personalized advice based on your wife's medical history and the specifics of her pregnancy. They may also suggest alternative treatments that are safer during pregnancy if necessary.

In summary, while the localized use of Travogen and Fusidic Acid creams may pose a lower risk compared to systemic medications, caution is warranted. Always prioritize open communication with healthcare professionals regarding any medications used during pregnancy to ensure the safety of both the mother and the developing fetus.

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